person
Dr. Katherine Eleanor Dertz, MD
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1104276021

Katherine Eleanor Dertz is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Katherine Eleanor Dertz practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Katherine Eleanor Dertz is 1104276021 and holds a License No. 4301109765 (Michigan).

The current practice location address for Katherine Eleanor Dertz is 945 Ottawa Ave Nw, Grand Rapids, MI and can be reached out via phone at 616-391-1929.

Location: 945 Ottawa Ave Nw, Grand Rapids, MI, 49503-1431
person
Provider Profile Details
NPI Number
1104276021
Provider Name
Katherine Eleanor Dertz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
945 Ottawa Ave Nw, Grand Rapids, MI, 49503-1431
Phone Number
616-391-1929
Fax Number
Provider Enumeration Date
06/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
945 Ottawa Ave Nw
City
State
Zip
49503-1431
Phone Number
616-391-1929
Fax Number
person
Provider Business Mailing Address Details
Address
945 Ottawa Ave Nw
City
State
Zip
49503-1431
Phone Number
616-391-1929
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4301109765 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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